Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.70 / $978.74 / $1,096.99	Professional		$853.70	$978.74	$1,096.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.72 / $1,008.72 / $1,008.72	Professional		$1,008.72	$1,008.72	$1,008.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $194.81 / $1,002.71	Professional		$159.59	$194.81	$1,002.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $327.41 / $901.03 / $1,691.56	Facility		$327.41	$901.03	$1,691.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.35 / $164.50 / $1,512.19	Facility		$110.35	$164.50	$1,512.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $385.19 / $1,002.37 / $1,691.56	Facility		$385.19	$1,002.37	$1,691.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.72 / $841.72 / $1,244.83	Professional		$841.72	$841.72	$1,244.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $693.26 / $1,188.38 / $2,702.85	Professional		$693.26	$1,188.38	$2,702.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.61 / $1,538.87 / $2,703.89	Professional		$1,027.61	$1,538.87	$2,703.89